为提高家长对子女行为健康护理需求的参与度而开展的医疗服务提供者培训的发展和可接受性。

IF 1.5 4区 医学 Q3 NURSING Journal of the American Psychiatric Nurses Association Pub Date : 2024-11-01 Epub Date: 2024-10-08 DOI:10.1177/10783903241284014
Ukamaka M Oruche, Cynthia M Holladay, Anil Chacko, Ora Nakash, Claire B Draucker
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引用次数: 0

摘要

背景:干扰、冲动控制和行为障碍(DIC)影响着美国的 500 万儿童,他们通常需要全面和长期的行为健康护理,而父母的持续参与是必不可少的。我们的研究团队正在开发一种干预措施,以提高父母对患有 DIC 儿童行为健康护理的参与度。该干预措施是对一种名为 "DECIDE "的循证共同决策干预措施的修改,将包括家长部分和医疗服务提供者部分。目的:确定经修改的 DECIDE 干预中提供者部分的可接受性。方法:医疗服务提供者干预是一个异步自定进度的在线培训项目,由五个模块组成:介绍、共同决策、透视法、归因错误和成为一个反应迅速的医疗服务提供者。培训在两个公立儿童和青少年治疗项目的 41 名提供者中进行试点。培训结束后,对提供者进行了半结构化访谈,以评估培训的可接受性。访谈内容采用传统的内容分析法进行分析。结果:医疗服务提供者对培训反应良好,许多人根据所学知识改变了做法。一些人提出了改进建议,其中最突出的是需要根据医疗服务提供者的角色、学科和专业水平来定制培训内容。结论:医疗服务提供者提供的反馈意见将用于改进 "决定 "干预措施中医疗服务提供者培训部分的未来迭代。精神科护士和其他临床医生可以借鉴培训计划中的策略,提高家长对 DIC 患儿治疗的参与度。
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Development and Acceptability of Provider Training to Increase Treatment Engagement of Parents in Their Children's Behavioral Health Care Need.

BACKGROUND: Disruptive, Impulse-Control, and Conduct disorders (DIC) affect 5 million children in the United States and often require comprehensive and long-term behavioral health care for which sustained parental involvement is essential. Our research team is developing an intervention to improve parental engagement in the behavioral health care of their children with DIC. The intervention, which will be a modification of an evidence-based shared decision-making intervention called DECIDE, will include a parent component and a provider component. AIM: To determine the acceptability of the provider component of the modified DECIDE intervention. METHODS: The provider intervention is an asynchronous self-paced online training program made up of five modules: introduction, shared decision-making, perspective-taking, attributional errors, and being a responsive provider. The training was piloted with 41 providers in two public child and adolescent treatment programs. Following completion of the training, semi-structured interviews were conducted with the providers to assess the acceptability of the training. The interviews were analyzed with conventional content analysis. RESULTS: The provider training was well received by providers, and many had made practice changes based on what they had learned. Several offered recommendations for improvement, most notably the need to tailor the training based on provider role, discipline, and level of expertise. CONCLUSIONS: The feedback given by providers will be used to refine future iterations of the provider training component of the modified DECIDE intervention. Psychiatric nurses and other clinicians may draw from strategies incorporated in the training program to improve parent engagement in the treatment of children with DIC.

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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
65
期刊介绍: The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).
期刊最新文献
Identification of Relationships Among Resilience Factors Using Network Analysis: A Pilot Study. Psychiatric Mental Health Nurses' Perceptions and Experiences of Inpatient Mental Health Care Safety Culture in Saudi Arabia. Empathy Amplified: Exploring the Transformative Potential of Understanding Auditory Hallucinations Through Staff Training. Development and Acceptability of Provider Training to Increase Treatment Engagement of Parents in Their Children's Behavioral Health Care Need. Passing the Baton: A Conversation With Outgoing Editor, Dr. Geraldine Pearson.
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